Related Experiment Videos
Sonographically guided hydrostatic reduction of intussusception in children
Pavel Crystal1, Yancu Hertzanu, Boris Farber
1Department of Radiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O.B. 151, Beer-Sheva 84105, Israel.
Journal of Clinical Ultrasound : JCU
|July 13, 2002
Summary
Sonographically guided hydrostatic enema is a safe and effective treatment for pediatric intussusception, with an 89% success rate. Radiologist experience and specific intussusception characteristics influence outcomes, guiding treatment decisions before surgery.
Area of Science:
- Pediatric Radiology
- Gastrointestinal Imaging
- Interventional Ultrasound
Background:
- Intussusception is a common surgical emergency in children.
- Hydrostatic reduction is a primary non-surgical treatment.
- Sonographic guidance enhances reduction accuracy and safety.
Purpose of the Study:
- To evaluate the efficacy of sonographically guided hydrostatic enema for intussusception reduction in children.
- To identify predictive factors for successful therapeutic outcomes.
Main Methods:
- Retrospective review of 101 pediatric intussusception cases over 40 months.
- Sonographically guided hydrostatic reduction attempted in 99 cases.
- Analysis of factors: free peritoneal fluid, intussusception fluid, location, and sonologist experience.
Main Results:
- Successful reduction in 88 (89%) of 99 cases with no complications.
- Lower success rates observed with left-sided intussusception or entrapped fluid.
- Reduced efficacy noted when performed by less experienced sonologists.
Conclusions:
- Sonographically guided hydrostatic reduction is a safe and effective first-line treatment for pediatric intussusception.
- Consider this method before surgery, even with risk factors like entrapped fluid or left-sided location.
- Radiologist experience is a critical factor influencing successful outcomes.